O'Stasik, Jennifer Lynn

O'Stasik, Jennifer Lynn is an individual health care provider with primary practice located at 1245 S Utica Ave 2Nd Floor, Tulsa OK 74104-4214. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. O'Stasik, Jennifer Lynn can be contacted via phone (918) 579-3850.

Contact Information

Primary practice address
1245 S Utica Ave 2Nd Floor Tulsa OK 74104-4214
Fax: (918) 579-3859
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24940 Oklahoma
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 24940 Oklahoma

Profile Details

NPI number 1447385091
LBN Legal business name O'Stasik, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jan 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447385091 NPPES
Oklahoma MEDICAID 200525560A

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